Accounts Receivable Manager - Insurance Collections

Kestra Medical Technologies Inc.

3d•Remote

About The Position

The Accounts Receivable (AR) Manager – Insurance Collections is responsible for the operational leadership, performance management, and strategic oversight of Insurance Collections team members within the Kestra’s Revenue Cycle Team. This role ensures the timely and accurate collection of third-party receivables by managing staff productivity, monitoring payer performance, and driving continuous improvement in AR workflows. The Accounts Receivable (AR) Manager – Insurance Collections serves as a subject matter leader in third-party payer collections, denial management, and reimbursement optimization. This position partners closely with Revenue Cycle leadership and cross-functional teams to reduce AR aging, maximize cash flow, ensure compliance with payer requirements.

Requirements

Bachelor’s degree in healthcare administration, business, finance, or related field required; advanced degree or certification (e.g., CRCR, CHFP) preferred.
10+ years of healthcare revenue cycle experience, with a strong focus on third-party insurance AR and denial management. (DME experience preferred)
5+ years of leadership or supervisory experience managing AR, insurance collections, or revenue cycle teams.
Proven track record of Vendor Management including success in managing to growth targets through Offshore Vendor support.
In-depth knowledge of payer reimbursement methodologies, denial resolution, and appeals processes across Medicare, Medicaid, and Commercial lines of business.
Experience managing teams handling Medicare, Medicaid, and commercial insurance collections.
Strong understanding of revenue cycle compliance and regulatory requirements.
Proven ability to lead teams, manage performance, and drive measurable improvements in AR outcomes.
Strong analytical and organizational skills, with experience in AR reporting and performance dashboards.
Experience working with EHR and AR systems (e.g., Epic, Cerner, Meditech).
Excellent communication, coaching, and problem-solving skills.
Proficiency in Microsoft Office Suite, especially Excel.

Nice To Haves

Experience working in Bonafide and Salesforce software.
Direct experience managing the oversight of a BPO arrangement.
Demonstrated ability to lead change, improve workflows, and scale operational processes.
Collaborative leadership style with a focus on accountability and continuous improvement.

Responsibilities

Provide direct leadership and day-to-day management of Insurance Collections team members, including workload distribution, prioritization, and performance monitoring.
Establish and manage to clear performance expectations and accountability and conduct regular coaching, feedback sessions, and performance evaluations to improve team member effectiveness and engagement.
Identify staffing and training needs, participate in hiring, onboarding, and development of training materials and training of new insurance collections team members.
Demonstrate strong analytical problem-solving skills with an action-oriented, outcome-driven approach and the ability to influence results through persuasive leadership.
Lead quality assurance efforts by assessing team member competencies and proactively upskilling staff to drive sustained improvements in performance.
Drive cost-of-service improvements through workflow optimization and operational efficiency initiatives.
Develop and implement revenue cycle strategies that deliver improved financial and operational business outcomes.
Create and standardize materials and measures for best practices and develop additional strategies to optimize insurance collection agent’s workflow and follow up processes.
Serve as an escalation point for complex or high-dollar payer issues unresolved by team members.
Drive operational efficiency, effectiveness, and measurable financial improvement across insurance collections functions.
Accountable for delivering measurable improvements in collection rates, denial rates, first-pass yield, and revenue per claim.
Develop and implement scalable strategies, processes, and technologies to continuously optimize revenue cycle performance within a fast-paced, high-volume, evolving DME healthcare environment.
Oversee performance of third-party payer accounts to ensure timely follow-up and resolution of outstanding insurance claims.
Monitor AR aging, denial inventory, underpayments, and payer response timelines to ensure compliance with contractual and internal benchmarks.
Analyze payer-specific trends, denial patterns, and reimbursement issues; translate findings into actionable and executable improvements.
Use data-driven insights to improve team performance and reduce AR aging across commercial, government, and managed care payers.
Ensure consistent and accurate documentation of payer interactions and claim activity within AR systems.
Oversee denial management strategies, including clean claim and overturn rate improvements through root cause analysis, appeal workflow enhancement, and escalation protocol development.
Partner with front end, prior authorization, insurance verification, billing, clinical documentation, and patient access teams to prevent recurring denials and errors.
Maintain knowledge of payer policies, contract terms, and regulatory changes impacting reimbursement.
Directly supervise Accounts Receivable team members including but not limited to conducting performance reviews, providing feedback, and helping to set professional development goals.